Understanding Sleep Myoclonus: Causes and Treatment Options
Involuntary movements during sleep Hello, doctor! I experience sudden muscle jerks that wake me up just as I'm about to fall asleep. This has been happening for three consecutive days. No matter when it is during the day, I keep waking up with these jerks whenever I'm c...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "your body suddenly jerks awake just as you're about to fall asleep," which may be related to a phenomenon known as hypnic jerks or sleep starts. When the breathing rate decreases significantly during sleep, or when dreaming of falling, th...[Read More] Understanding Sleep Myoclonus: Causes and Treatment Options
Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Restless Legs Syndrome (RLS) The doctor would like to ask: I have been experiencing a cold for the past two days and visited a doctor who diagnosed it as a bacterial infection. My throat is very red, and I was prescribed antibiotics along with some other medications. However, I h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you have a severe sore throat due to a bacterial infection, and you were prescribed antibiotics along with some other medications. You also mentioned experiencing generalized itching, difficulty finding a comfortable sleeping position, and sensations of ...[Read More] Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Understanding Left Lower Back and Hip Pain: Causes and Solutions
Left lumbar and hip pain? Hello doctor, I have been experiencing lower back pain for the past ten years due to sitting for long periods during exams and suddenly lifting heavy objects. Since then, my back occasionally hurts, and I need to stretch it. Typically, it takes about a m...
Dr. Jiang Junyi Reply:
Hello Ms. KOKO: You mentioned that after doing squats with an empty barbell, you felt some discomfort in your lower back. Upon returning home and resting, you found that even walking caused pain. After a night of rest, you felt slightly better, but the next day, even sneezing cau...[Read More] Understanding Left Lower Back and Hip Pain: Causes and Solutions
Understanding Muscle Twitches: Causes and Concerns for Young Adults
Muscle twitching Hello Doctor, 1. My muscles used to twitch occasionally, and I didn't think much of it at the time, but recently I've been experiencing frequent twitching in my legs. I can feel it while lying in bed or sitting, about every few seconds, and it seems t...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that the "almost fixed places take turns twitching" is more like benign muscle twitching. This is mainly related to several factors: exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of th...[Read More] Understanding Muscle Twitches: Causes and Concerns for Young Adults
Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Numbness in the left palm, with no sensation when touched? I often wake up around 2:30 to 3:30 AM, and I have experienced numbness in my left hand 3 to 4 times. Today, I noticed that my left palm has no sensation, and even when I press my fingers hard, there is no feeling. Before...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned may be caused by nerve compression in the hand during sleep. If the symptoms persist and do not improve, it is recommended to visit a neurologist for further evaluation of the underlying causes.[Read More] Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Numbness and weakness in the limbs? Hello Doctor: Recently, I have noticed that the numbness in my hands and feet has become increasingly severe. I usually sit cross-legged, and previously, if I sat for less than half an hour, my feet would definitely go numb. However, in the pas...
Dr. Cai Zongzhang Reply:
Hello, Ms. Zhao: The symptoms mentioned above are suspected to be caused by peripheral circulatory insufficiency leading to neurological symptoms. It is advised not to sit cross-legged. If the symptoms persist, it is recommended to see a neurologist for further evaluation.[Read More] Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Persistent Fatigue: Understanding Causes of Constant Sleepiness
Feeling sleepy all day? Recently, I lost weight, but then my weight returned to what it was! I feel sleepy all day and lack energy. I don’t have a habit of staying up late; I usually sleep from around 11 PM to just after 6 AM. I had my liver checked, and it’s fine; my lungs are a...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned above are suspected to be caused by insufficient cerebral blood flow. It is recommended to continue treatment for hyperlipidemia to reduce the risk of stroke.[Read More] Persistent Fatigue: Understanding Causes of Constant Sleepiness
Understanding Limb Jerking in Sleeping Five-Year-Olds: Causes and Concerns
A five-year-old child experiences body and limb twitching during sleep? Hello, doctor. Recently, I have noticed that my child (a five-year-old boy) experiences twitching in his limbs while sleeping. The intervals between the twitches vary in length, but the range and amplitude of...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your five-year-old son experiences limb jerking during sleep, with varying intervals. If your child has not shown any signs of learning delays during his developmental history, there is no need to worry too much. There are many reasons that can...[Read More] Understanding Limb Jerking in Sleeping Five-Year-Olds: Causes and Concerns
Understanding Nerve Issues: Upper Back and Limb Numbness Explained
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I frequently experience numbness in the upper left back, which started about three years ago. X-ray...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned that "your long-standing habit of resting your left elbow on the desk causes numbness, which can be slightly relieved by rolling a fascia ball over the affected area." This may indicate symptoms of ulnar nerve injury. Additionally, you noted ...[Read More] Understanding Nerve Issues: Upper Back and Limb Numbness Explained
Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Numbness and pain in the left thigh? Hello, I occasionally experience an involuntary twitching sensation in the skin on the outer side of my left thigh, and it feels somewhat numb. This has been happening for a while. After doing leg exercises at the gym last week, I felt fine, b...
Dr. Jiang Junyi Reply:
Dear Miss Yingzi, You mentioned that "the sensation is somewhat numb. It has been this way for a while. After doing leg exercises at the gym last week, I felt fine, but the next morning I woke up due to continuous sharp pain and numbness on the side of my left thigh. When I...[Read More] Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Cervical spine issues Hello Doctor, I have been experiencing numbness in the tips of my fingers on both hands (more pronounced in the left hand) for over a year now, since I first noticed it. I visited a neurologist in May of this year. The doctor performed an X-ray and an electr...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "an MRI of the cervical spine has been scheduled, but it won't be until November. I would like to ask the doctor, with three months to wait, will this delay be too long to determine the extent of the compression?" If symptoms progr...[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Understanding Leg and Wrist Pain: When to Seek Neurology Care
Pain in the posterior right calf and discomfort in the wrist? Hello, doctor. Last month, due to a confirmed diagnosis, I spent nearly a week lying on a recliner or sitting. Since then, I have experienced pain when pressing on the back of my right calf (which is not present now). ...
Dr. Hong Weibin Reply:
Hello: It may be due to prolonged rest, which has caused the muscles to become tight and stiff. You can start by consulting a rehabilitation specialist or a physical therapist for assistance in relaxing the tight muscles, and then gradually increase your activity level, which sho...[Read More] Understanding Leg and Wrist Pain: When to Seek Neurology Care
Understanding Calf Pain: Is It a Neurological Issue?
Calf issues? Hello Dr. Jiang, I would like to ask about experiencing cramping sensations in one calf, along with occasional pain that encompasses the entire leg. The pain is particularly intense around the inner heel, and sometimes there is a feeling of warmth. Could these sympto...
Dr. Jiang Junyi Reply:
Hello Mr. Yu: You mentioned that "the inner heel is particularly painful... sometimes it feels a bit warm," which may indicate symptoms of nerve compression due to intervertebral disc pressure, accompanied by the following phenomena, which are characteristic of peripher...[Read More] Understanding Calf Pain: Is It a Neurological Issue?
Understanding Headaches and Body Numbness: When to Seek Medical Help
Headache and body numbness? I have never encountered this situation before, so I am documenting it to consult a physician: On the first day, my heart was racing all day, and I felt restless. On the second day, in the middle of the night, my heart rate increased to the point that ...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "I do not experience major headaches in daily life, but occasionally feel dizzy and nauseous, sometimes lack appetite, and my hands and feet feel weak. When walking, I often feel like my legs lack strength..." Your symptoms seem to be ...[Read More] Understanding Headaches and Body Numbness: When to Seek Medical Help
Struggling with Sleep: Understanding Restless Legs and Anxiety
I've been having trouble sleeping lately? A few days ago, I suddenly couldn't sleep at night. I kept kicking my legs in bed and got up to walk around several times. I felt easily irritable, and no matter how hard I tried, my mind kept wandering, making it impossible to ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Struggling with Sleep: Understanding Restless Legs and Anxiety
Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Numbness and even weakness in the limbs? Recently, I started experiencing numbness in both hands that lasted all day. The next day, the numbness in my hands persisted and spread to my legs, along with stiffness and numbness in my right shoulder and neck. On the third day, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you have a noticeable loss of sensation in the soles of your feet, which may indicate a potential issue with nerve compression. This can occur due to prolonged fixed positions, repetitive movements over time, or excessive training, including situa...[Read More] Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persi...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic. However, if your symptoms are localized to specific areas of nerve distribution, peripheral...[Read More] Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin Reply:
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Please provide information regarding the sequelae of stroke? Hello Doctor: My family member had a stroke in the right hemisphere three years ago. After rehabilitation, he was able to walk normally, but he has reduced function in his left upper limb. In April, he suffered a stroke...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "pain in the right lower limb upon waking during the day, with muscle tightness in the leg and toes splayed. Massage and stretching can provide relief, but the pain recurs shortly after." This symptom may suggest lower limb muscle cramp...[Read More] Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed